Linda Sue Supple-Diaz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033890 Issued in MI

Practice address

2075 W Big Beaver Rd
Troy, MI 48084-3407

Phone

(248) 646-6659

Fax

(248) 646-8645

NPI assigned

Apr 9, 2007

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Birmingham Maple ClinicGroup PAC ID 6800867755, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birmingham Maple Clinic

  • Counselor
  • Troy, MI
  • NPI 1558412551
  Medicare reassignment Care Compare group NPD
• Jeffrey a. London MD PC

  • Medical Specialty Clinic/Center
  • Troy, MI
  • NPI 1861708257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1518080282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 CANYON OAKS DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147506",
            "telephone_number": "810-229-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843407",
            "telephone_number": "248-646-6659",
            "fax_number": "248-646-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPLE-DIAZ",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jingwen Sun
• Suncare Therapy, P.C.
• Melissa Kay Sundt, M.S., BCBA
• Sunrise Institute for Pain Management P.C.
• Superior Anesthetists Associates, Inc.
• Bindu Suresh, M.D.
• Kandasamy Suresh, RPT
• Sanjula Suresh, NP
• Surgical Assist, PLC
• Surgical Centers of Michigan, LLC (Anethesia SCM)

• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.